Online Forms- New Patient

We offer our New patient Intake forms so they can be printed out and completed in the convenience of your own home or office, before you even arrive to our chiropractic office.  

Chiropractic: Please be sure to print/complete *Patient Info Form*  *PHQ Form*  *Informed Consent* below,  prior to your scheduled appointment time. Our Authorization for Medical Records Release Form is also below should you want to have your records sent to a third party. 

Chiropractic: For New patient that are Personal Injury/Auto Accident - please print/complete the forms and bring to your appointment.  Be sure to have your claim# and adjuster information with you when you come for your appointment.

LifeStem Patients: Please print out the intake form and bring completed to your consultation along with any insurance cards. 

New Patient Health History Form - Required                Personal Injury (PI)/Auto Accident                       LifeStem Patients           

 1. patient-info-form.docx                                                          1.pi-paperwork.pdf                                     lifestem-intake.pdf

2. phq-intake-forms.pdf   

3. informed-consent-insurance-form.docx

4.authorization-medical-records.docx

Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am - 1:00 pm

2:00 pm - 5:45 pm

Tuesday:

9:00 am - 1:00 pm

2:00 pm - 6:00 pm

Wednesday:

9:00 am - 1:00 pm

2:00 pm - 4:30 pm

Thursday:

9:00 am - 1:00 pm

2:00 pm - 6:00 pm

Friday:

9:00 am - 1:00 pm

2:00 pm - 5:00 pm

Saturday:

By Appt.

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I put my body through the ringer when I was young so Titus got a science experiment when I signed on. I think the most importantly thing as a patient is having someone listen and focus on exactly what you need. I trust what they say and do and they are true professionals"
    Rick Q.
  • "When Todd Norris was recommended to be I had been in pain for over 2 weeks! Unable to exercise, walk, sit, stand, sleep... yes you name it. I couldn't do it without pain! After ONE treatment, I was back doing my beloved Pure Barre routine! Office staff was nice , scheduling was easy and I was seen on the same day I called. Todd explained his ART therapy method and I felt I was in very competent hands!"
    Latricia Brannon R.